JON M BERRY (M.D.) – Surgery Physician, NPI 1124085469
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 GENERAL SURGERY in AR
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Provider Addresses for JON M BERRY (M.D.)
Fayetteville Surgical Associates, 3264, North Northhills Boulevard, North Hills Medical Park, Fayetteville, Washington County, Arkansas, 72703, United States
FAYETTEVILLE SURGICAL ASSOCIATES PA
FAYETTEVILLE, AR 727034005
Phone: (479) 521-3300
Fax: (479) 521-4914
Type: Mailing
3 E APPLEBY RD STE 401
FAYETTEVILLE, AR 727033163
Phone: (479) 404-2500
Fax: (479) 404-2501
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $554.
Total Amount is formed as General ($554) + Research ($0) + Ownership ($0) = $554.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Davol Inc. ($376).
Total Amount
$554
General + Research + Ownership
Payments
13
Total payment records
General Amount
$554
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $376 |
| Avanos Medical | $36 |
| Solventum Corporation | $35 |
| Medtronic, Inc. | $20 |
| KCI USA, Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-07-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040717000278 | I | General Surgery | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 49 | 34 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 38 | 20 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 37 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 31 | $0 |
Insurance plans in this area (ZIP 72703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| - | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| - | AR | |
| Family Practice | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| Nurse Practitioner | AR |
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